Apparatus for humidifying a respiratory gas

ABSTRACT

An apparatus for delivering pressurized, humidified breathable gas to a patient having a sleep-related disorder includes a CPAP unit with a blower configured to generate a flow of pressurized breathable gas. The Apparatus also includes a liquid storage container configured to hold a body of liquid. The liquid storage container has a gas feed opening, a gas discharge opening and a humidifying region above a metallic heat conducting material. In addition, the apparatus includes a support housing integrated directly into the CPAP unit and having a receiving space configured to removably receive the liquid storage container. The liquid storage container is structured such that when the liquid storage container is received by the support housing, the gas feed opening aligns with and engages with an ending portion of a gas feed flow path defined by the support structure and the gas discharge opening aligns with and engages with a beginning portion of a gas discharge flow path defined by the support structure so that the liquid storage container fluidly connects the gas feed flow path and the gas discharge flow path.

CROSS REFERENCE TO RELATED APPLICATIONS

This application is a continuation of U.S. application Ser. No.14/791,775, filed Jul. 6, 2015, now pending, which is a continuation ofSer. No. 13/916,930, filed Jun. 13, 2013, now pending, which is acontinuation of U.S. Ser. No. 12/958,718, filed Dec. 2, 2010, now U.S.Pat. No. 8,469,025, which is a divisional of U.S. application Ser. No.11/414,432, filed May 1, 2006, now U.S. Pat. No. 7,938,112, which is adivisional of U.S. application Ser. No. 10/048,786, filed Aug. 6, 2002,now U.S. Pat. No. 7,096,864, which is the National Phase ofInternational Application PCT/EP00/07602, filed Aug. 4, 2000, whichdesignated the U.S. and claims priority to German Application No. 199 36499.0, filed Aug. 5, 1999, German Application No. 199 49 292.1, filedOct. 13, 1999, German Application No. 199 49 283.2, filed Oct. 13, 1999and German Application No. 299 18 048.4, filed Oct. 13, 1999,respectively, the entire contents of each of which are herebyincorporated by reference.

BACKGROUND OF THE INVENTION

1. Field of the Invention

The invention concerns an apparatus for supplying a respiratory gasunder an increased pressure comprising a blowing device for deliveringthe respiratory gas, a housing device for receiving the blowing deviceand a connecting device for connection of a humidifying apparatus forhumidifying the respiratory gas delivered by the delivery device. Theinvention further concerns a humidifying apparatus for humidifying arespiratory gas as well as a respiratory gas tube or hose and aconnecting apparatus therefor.

2. Description of Related Art

Apparatuses for supplying a respiratory gas under an increased pressureare used in particular in the field of sleep therapy for dealing withsleep-related respiratory disturbances. Supplying the respiratory gasunder a predetermined increased pressure, usually in the range ofbetween 5 and 20 mbar, provides for pneumatic splinting of the upperrespiratory tracts of a patient, in a physiologically well compatiblefashion, whereby it is possible to effectively prevent obstruction inthat respiratory tract region.

Usually the respiratory gas is formed directly from the ambient airwhich is preferably sucked in by way of a filter device. In dependenceon the climatic conditions which fluctuate in particular due to the timeof year involved, it has proven to be advantageous for the respiratorygas which is supplied to the patient, for example by way of a blowingdevice, under a regulated, possibly alternating pressure, to behumidified from time to time. For that purpose it is possible to inserta humidifying device into the respiratory gas path between the blowingdevice and the respiratory mask, for example by way of an intermediatehose portion. CPAP-units with an integrated humidifying apparatus arealso known.

In the case of the humidifying apparatuses which are only inserted intoa hose line however, there is frequently the problem of inadequatestrength and stability. In the case of CPAP-units with an integratedhumidifying apparatus the latter has to be constantly taken around, evenif there is temporarily no need for humidification of the respiratorygas.

SUMMARY OF THE INVENTION

Under the impulsion of that problem, the object of the invention is toprovide an apparatus for supplying a respiratory gas and a humidifyingapparatus which is provided for same, which is robust and simple tohandle and which can be configured in an easy fashion according torespective requirements involved.

In accordance with the invention that object is attained by an apparatusfor supplying a respiratory gas, having one or more features describedbelow.

By virtue thereof, it is advantageously possible for a humidifyingapparatus to be coupled directly laterally to a CPAP-unit easily andwithout the need for expert assembly procedures, and without theCPAP-unit having to be lifted for that purpose. In that case the lowersupport portions by way of which the CPAP-unit is set up advantageouslyact directly as a guide device which permits the humidifying apparatusto be easily pushed to the CPAP-unit. If for example there istemporarily no need for a humidifying apparatus or if the humidifyingapparatus is to be temporarily separated from the CPAP-unit for cleaningpurposes, the CPAP-unit can remain unchanged at the location at which itis set up and the humidifying apparatus can simply be removed towardsthe side, in particular by being pulled off.

In accordance with a particularly preferred embodiment of the inventionthe connecting members are oriented substantially in the joiningdirection. In particular the main passage cross-section for therespiratory gas which is delivered by the blowing device isadvantageously formed by a tube connection, on to which can be fitted aconnecting portion which is provided on a humidifying apparatus ofcorrespondingly complementary configuration.

An embodiment of the invention which is particularly advantageous fromesthetic points of view and in regard to a symmetrical structure for theCPAP-unit system is afforded if the corresponding connecting members areprovided in an end (front side) of the unit. The surface portion of thatend of the unit is of a substantially complementary configuration to aportion of the humidifying apparatus, which is adjacent in the joinedposition.

An embodiment of the invention which is advantageous in particular inregard to particularly reliable coupling of a pressure measuring conduitis afforded if the connecting device has said tube connection forconducting the respiratory gas therethrough and a conduit portion whichis arranged adjacent thereto, for coupling a pressure-measuring conduit.

The tube connection for passing the respiratory gas therethrough and theconduit portion for the pressure measuring conduit, in accordance with aparticularly preferred embodiment of the invention, are arranged in anopening in such a way that they do not project substantially beyond amain plane defined by the front end face of the unit. That affordsparticularly effective protection for these comparatively filigreeCPAP-unit connecting members.

In accordance with a particular aspect of the present invention theconnecting device, for connection of the humidifying apparatus asrequired, includes electrical connecting members for affording anelectrical connection to the humidifying apparatus. By way of thoseelectrical connecting members it is advantageously possible to supplyvoltage to a heating device of the humidifying apparatus, without acorresponding voltage supply cable having to be manually connected forthat purpose to the humidifying apparatus. The electrical connectingmembers can also be used for the transmission of electrical signals, forexample for the transmission of a filling level signal or also for thetransmission of electrical signals which are supplied for example in theregion of the respiratory tube connecting device.

A particularly effective coupling for the CPAP-unit to the humidifyingapparatus which is intended for connection thereto is achieved inaccordance with the invention in that there is provided a latchingdevice which can be manually put into a release position and which holdsthe humidifying apparatus in a joined position. By virtue of thatarrangement it is advantageously possible for the humidifying apparatusto be designed in such a way as to save a great deal of weight, withoutin that respect involving the risk that it is by mistake pulled off theCPAP-unit by way of the connected respiratory gas tube or hose andcaused to fall off the surface on which it is supported (for example anoccasional table).

In accordance with a particularly preferred embodiment of the inventionthe CPAP-unit is designed in the bottom region in such a way that theconnecting members and in particular the above-mentioned tube connectionare arranged at a vertical heightwise level which exactly corresponds tothe heightwise level of the connecting members provided on thehumidifying apparatus.

Advantageously, the connecting members provided on the CPAP-unit andalso those on the humidifying apparatus are positioned in a verticaldirection in such a way that, when the CPAP-unit and the humidifyingapparatus are set up on a substantially flat support, the humidifyingapparatus can be pushed to the CPAP-unit, in which case the requiredorientation of those two modules in the vertical direction is alreadyachieved by virtue of the surface on which they are standing. In orderalso to attain sufficient centering of the two modules in the lateraldirection, centering aids are also provided in accordance with aparticularly preferred embodiment of the invention. In that respect, aparticularly robust centering aid is achieved if the inside wall of theopening which receives the tube connection is matched to the outsideperipheral surface of the connecting projection provided on thehumidifying apparatus.

In regard to the humidifying apparatus the object set forth hereinbeforeis attained by a humidifying apparatus having one or more of thefeatures described below. Such a humidifying apparatus can be coupled ina simple fashion to a suitable CPAP-unit, even by a lay person, withoutexpert assembly procedures or a connecting tube or hose being requiredfor that purpose. The CPAP-unit does not have to be lifted for thatpurpose.

Advantageously there is provided a humidifier unit which can be coupledto a base unit and which includes a cartridge-like refilling modulewhich can be removed and re-fitted. The refilling module can be fixed inthe humidifier unit by way of fixing devices, for example a bayonetfixing device. The refilling module can be sealed off in a portion-wisemanner or completely in the humidifier unit by sealing devices.

In the context of a CPAP-therapy, spontaneous respiration of a patientis assisted by a respiratory gas under permanent increased pressurebeing supplied to the patient. That increased pressure affords pneumaticsplinting of the upper respiratory tracts, whereby it is possible toobviate any respiratory tract obstructions which occur during a patientsleep phase. In the treatment of sleep-related respiratory disturbancesin that manner, that increased-pressure artificial respiration usuallyextends over the entire sleep phase of the patient. In regard toimproved physiological compatibility of that increased-pressureartificial respiration it has proven to be advantageous to humidify therespiratory gas which is fed to the patient. Usually, humidification ofthe respiratory gas is effected by the respiratory gas being passed overa water bath and in so doing absorbing moisture. An amount of water ofabout 750 ml is usually stored in that water bath. The water bath ispreferably slightly heated by means of a heating device. When usingthose conventional humidifying apparatuses, it has been found that theabsolute moisture content of the respiratory gas, as viewed over theentire sleep phase, is subject to in part considerable fluctuations.

To resolve that problem, in accordance with a particular aspect of thepresent invention, there is described an apparatus, which is simple tohandle, for the humidification of a respiratory gas, and a CPAP-unitwhich is intended for use therewith, by means of which it is possible toachieve uniform humidification of the respiratory gas. That is achievedby an apparatus for the humidification of a respiratory gas comprising aliquid storage space for storage of a liquid, a humidifying region forloading the respiratory gas with the liquid by the respiratory gascoming into contact in the humidifying region with the liquid, arespiratory gas supply device for supplying the respiratory gas to thehumidifying region, and a respiratory gas withdrawal device forwithdrawal of the humidified respiratory gas from the humidifyingregion, wherein there is provided a partial-amount discharge device forpassing only a partial amount of the liquid stored in the liquid storagespace into the humidifying region.

That arrangement makes it advantageously possible to provide arespiratory gas which is humidified according to the respectiverequirements involved, just a short time after the unit is brought intooperation. With a desired heating effect for the humidifying medium,that can be achieved quickly and with a comparatively low level of powerdraw. As a result of the low level of power draw of the heating devicethe humidifying apparatus according to the invention is particularlysuitable for operation independently of a mains network, by means of abattery or an accumulator.

In accordance with a particularly preferred embodiment of the inventionthe humidifying region is spatially separated from the liquid storagespace. In order for supplying the humidifying medium from the liquidstorage space, according to the respective requirements involved, thereis preferably provided a fluid conduit device by way of which thehumidifying region is in communication with the liquid storage space.

Provided between the humidifying region and the liquid storage space, inaccordance with a preferred embodiment of the invention, is a separatingwall which separates the humidifying region from the liquid storagespace. The fluid conduit device is preferably arranged in such a waythat it passes through the separating wall.

An embodiment of the invention which is advantageous in terms ofparticularly advantageous handleability and reliable filling of thehumidifying region is afforded if the liquid storage space is arrangedabove the humidifying region in the position of use of the apparatus. Byvirtue of that arrangement, it is possible for the humidifying medium tobe passed into the humidifying region as a result of the force ofgravity acting thereon. The discharge of a partial amount of the liquidinto the humidifying region is advantageously effected in dependence ona level of liquid in the humidifying region. In that way it is possiblefor a given minimum amount of humidifying liquid to be kept permanentlyavailable in the humidifying region.

The filling level in the humidifying region is advantageouslyquantitatively controlled by the introduction of air into the liquidstorage space, for the discharge of a partial amount of the liquid outof the liquid storage space. For that purpose, in accordance with aparticularly preferred embodiment, the air for introduction into theliquid storage space is drawn in by way of the humidifying region.

Control of the supply of air is preferably effected by the provision ofa metering or quantitative control conduit device which extends betweenthe liquid storage space and the humidifying region, wherein the conduitdevice has a first mouth opening which is at the height of the level ofliquid in the humidifying region and a second mouth opening which opensinto the liquid storage space into a region above the level of liquid inthe storage space. In that situation the first mouth opening is coveredby the liquid disposed in the humidifying region until the level ofliquid falls below the first mouth opening. As soon as the first mouthopening is cleared air can then flow into the liquid storage space byway of the quantitative control conduit device. As the result of thatmake-up flow of air, a small amount of fluid again passes into thehumidifying region and the level of the liquid in the humidifying regionrises until the first mouth opening is again below the level of theliquid.

The quantitative control conduit device is advantageously formed by atube conduit which passes through the separating wall in a verticaldirection.

The liquid is transferred from the liquid storage space into thehumidifying region through a tube projection portion which extends fromthe separating wall into a region below the first mouth opening of thequantitative control conduit device or the air-introduction conduitdevice.

An embodiment of the humidifier which is robust and advantageous interms of manufacture from production-engineering points of view isafforded by the separating wall and the two fluid conduit devices beingof an integral nature.

The liquid storage space is preferably formed by a cup-shaped housingportion. That housing portion is preferably formed from a transparent ortranslucent material. Making the housing portion from a plastic materialadvantageously provides for protection from splintering and a stillfurther reduction in the level of heat losses.

In accordance with a particularly preferred embodiment of the inventionthe humidifying region is formed in a trough or vat element.Particularly effective humidification of the respiration gas, with astructure which is still compact, can advantageously be achieved by theprovision of air conduit devices which are arranged in such a way thatair flows through the trough element substantially transversely or alonga spiral path. That provides intensive contact of the respiratory gaswith the partial amount of liquid accommodated in the humidifyingregion.

Particularly intensive humidification of the respiratory gas can beachieved by the provision of a heating device for heating the partialamount of liquid stored in the humidifying region. The heating device ispreferably operated electrically, for example by a resistance heatingmeans. The resistance heating means is preferably formed by a thinfoil-like element thermally coupled to a bottom region of the troughelement. For that purpose preferably the trough element has a bottomportion which is formed from a material of high thermal conductivity, inparticular metal. As an alternative thereto or also in combinationtherewith, it is also possible for the heating device to be integrateddirectly into a wall portion, in particular a bottom portion, of thehumidifying region.

Advantageously the integral member forming the separating wall is fittedin sealing relationship into the trough element by way of a firstperipheral sealing device. The integral member preferably also includesa second peripheral sealing device which closes the liquid storage spacein sealing relationship, in conjunction with the separating wall. Thehumidifying unit which is formed in that way can be opened for therefilling procedure by the trough element being removed from the housingportion which forms the liquid storage space.

In accordance with a particularly preferred embodiment of the invention,to receive the described humidifying unit there is provided a support orinstallation housing into which at least the trough element can befitted. Advantageously the trough element or the support housing isprovided with a respiration tube connecting device for the connection ofa respiration tube. In accordance with a particularly preferredembodiment of the invention there is provided a secondary or duplicatetube connecting device in the region of the respiration tube connectingdevice. By way of a secondary tube of preferably small diameter, whichcan be connected to the secondary tube connecting device, it is possibleto implement pressure measurement in a region following the humidifyingapparatus, for example in the region of a CO₂ exchange valve. Thesecondary tube connecting device is preferably arranged immediatelybeside a respiratory tube connecting projection. Advantageously theconnecting structure provided on the humidifying apparatus for therespiration tube and preferably also for the secondary tube and inparticular the pressure-measuring tube corresponds in respect of itsconstitution to the connecting structure correspondingly provided on aCPAP-unit. That advantageously provides for compatibility of the tubeconnections both with the CPAP-unit and also with the humidifying devicewhich is possibly connected therebetween.

In that respect, a robust embodiment which is advantageous from thepoints of view of production engineering is afforded if the secondarytube connecting device and the respiration tube connecting device areformed integrally with the trough element or with the support housing.

In a particularly preferred embodiment of the invention the humidifyingapparatus has connecting members which permit direct docking of thehumidifying apparatus to a corresponding CPAP-unit.

For that purpose in accordance with a particularly preferred embodimentof the invention the CPAP-unit and the humidifying apparatus are sodesigned that they can be reliably and securely coupled. Thatarrangement preferably also entails coupling of the duplicate orsecondary tube connecting device provided on the humidifying apparatus,to a connecting device provided on the CPAP-unit.

Independently of the measures described hereinbefore or alsoadvantageously in combination therewith, the above-identified object inaccordance with the invention is also attained by an apparatus forhumidifying a respiratory gas comprising a liquid storage space forstoring a liquid, a humidifying region for loading the respiratory gaswith the liquid by the respiratory gas coming into contact in thehumidifying region with the liquid, a respiratory gas supply device forsupplying the respiratory gas to the humidifying region and arespiratory gas withdrawal device for withdrawal of the humidifiedrespiratory gas from the humidifying region, wherein the liquid storagespace is formed by a housing portion which is coupled to a troughelement to form the humidifying region and there is provided a supportor installation housing portion for receiving a unit formed by thehousing portion and the trough element.

In terms of a CPAP-unit the object as set forth in the opening part ofthis specification is attained by a CPAP-unit comprising an outerhousing, a conveyor device accommodated in the outer housing forconveying a respiratory gas to a respiratory gas outlet connection, apressure-detection device, a control device for controlling the conveyordevice in dependence on the detected pressure and a pressure-measuringconnection for the connection of a pressure-detection conduit, whereinthe respiratory gas outlet connection and the pressure-measuringconnection are of a complementary configuration to connecting membersprovided on the humidifier side.

That advantageously affords a CPAP-system of a modular structure, whichcan be easily and quickly configured according to the respectiverequirements involved, even by a lay person. The CPAP-unit systemaccording to the invention is also distinguished, in a completelydismantled condition, by a high level of complexity and in addition canbe transported in the form of a stable unit.

The invention further concerns a respiration tube connecting device forcoupling a respiration tube formed from a flexible material to aCPAP-unit and a respiration tube provided with a correspondingconnecting device.

Respiration tubes of that kind are used in particular in the therapy ofsleep-related respiration disturbances. In that situation therespiratory gas is supplied to a patient under a predetermined increasedpressure which possibly alternates during a respiration cycle, toprovide for a pneumatic splinting effect for the upper respiratorytracts.

To control the respiratory gas pressure, it is known to detect by way ofa pressure-measuring tube the pressure in the region of a respiratorymask or in a region which is preferably spaced therefrom by betweenabout 10 and 15 times the inside diameter of the respiratory gas tube.That pressure-measuring tube is usually inserted into the respirationtube.

The respiration tube can be fitted directly or by way of an elasticconnecting plug sleeve on to a connecting projection provided on aCPAP-unit. In that case the pressure-measuring tube is either fitted byplugging engagement on to a tube portion provided in coaxialrelationship in the interior of the connecting projection or it ispassed out of same by way of a small hole provided in the respirationtube and fitted in plugging engagement separately on to a correspondingpressure-detection connecting projection provided on the CPAP-unit. Theknown respiration tube connecting structures with integrated connectingmembers for a pressure-measuring tube involve the problem of acomparatively high level of respiratory resistance and difficulties incleaning. Systems with a pressure-measuring tube which is passed freelyout of same suffer from the problem that the connection of thepressure-measuring tube is forgotten under some circumstances so thatthis can result in an unacceptably high rise in pressure in terms of therespiratory gas feed.

Having regard to those circumstances and in accordance with a furtherconcept of a way of attaining the object of the invention, there isprovided a robust respiration tube system which is easy to handle andwhich is distinguished by involving a comparatively low level ofrespiratory resistance and with which correct coupling of therespiration tube to a CPAP-unit is guaranteed even without particularattention being paid.

In accordance with the invention that is attained by a respiration tubeconnecting apparatus having a base body, a respiratory gas passage ductformed in the base body, and a respiration tube connection portion forreceiving an end portion of a respiration tube, which is distinguishedin that provided in the base body in a region which is radiallydisplaced with respect to the center of the respiratory gas passage ductis an additional coupling portion for coupling of an additional hoseconduit to a complementary connecting structure provided on arespiratory gas source.

The base body is preferably formed from an elastomer material, wherebyit is possible to provide for particularly reliable sealing integritywith the complementary connecting structure and adequate fixing of theplug connection.

The above-mentioned tube conduit connected to the additional couplingportion generally involves a pressure-measuring conduit. That additionaltube conduit however may also be in the form of an analysis conduit fortaking a respiratory gas sample or in the form of a flushing conduit forthe exchange of consumed respiratory gas or also in the form of a feedconduit for example for oxygen.

In accordance with a particularly preferred embodiment of the inventionthe passage cross-section of the respiratory gas passage ductsubstantially corresponds to the passage cross-section of therespiration tube. That advantageously ensures that the connecting plugdoes not contribute to a considerable degree to an increase inrespiratory resistance.

The respiratory gas passage duct is preferably of a substantiallycircular cross-section and can be fitted with an easy press fit on to aconnecting projection provided at the unit. Preferably the respiratorygas passage duct is of such a configuration, in its region which can bepushed on to the connecting projection, that the inside wall of theconnecting projection adjoins substantially steplessly the inside wallof the following region of the respiratory gas passage duct.

The additional coupling portion is preferably formed by a cylindricalbore portion which is provided in the base body and which extendssubstantially parallel to the longitudinal center line of therespiratory gas passage duct. The inside diameter of the respiratory gaspassage duct is preferably in the region of between 15 and 24 mm,preferably 19 mm—the inside diameter of the additional coupling portionis in the region of between 3 and 8 mm, preferably being 4 mm.

An embodiment of the invention which is particularly advantageous interms of handling is preferably afforded if extending in the interior ofthe base body is a duct portion which leads from the additional couplingportion into the respiratory gas passage duct. The duct portion ispreferably of a cross-section which is sufficient to receive theadditional tube conduit.

Advantageously the additional tube conduit is inserted into the ductportion in sealing relationship, preferably being secured therein byadhesive. The additional tube conduit is preferably passed through theduct portion as far as a front end of the base body and introduced intothe coupling portion.

A respiration tube fixing portion is advantageously formed in a regionwhich is remote from the front end of the base body, wherein therespiration tube is fixed in the respiration tube fixing portion insealing relationship, in particular being secured therein by adhesive orvulcanisation. As an alternative thereto or also in combination withthose measures, it is also possible to provide in the respiration tubefixing portion a zone with a female screwthread, which is complementaryin shape to the outside peripheral surface of a respiration tube whichhas a spiral insert.

In accordance with a preferred embodiment of the invention, towards therespiration tube, the inside region of the respiratory gas passage ductis also of such a configuration as to provide a substantially steplesstransition into the respiration tube. That also achieves an effectivereduction in respiratory resistance.

A particularly secure and load-bearing coupling between the respirationtube and the connecting plug structure is achieved by the base portionbeing injection-molded to the respiration tube and/or the additionaltube conduit. The base body is preferably formed from an in particulartransparent or translucent elastomer material, in particular siliconerubber.

The described connecting structure advantageously provides a respirationtube for a CPAP-unit, with a tube body which is formed from a flexiblematerial, a pressure-measuring tube which is guided in the tube body,and a connecting plug structure provided at the end of the tube body,wherein the connecting plug structure is formed from an elastomermaterial and provided in the connecting plug structure is a duct portionby way of which the pressure-measuring tube is passed out of arespiratory gas conduit region into a coupling portion which is disposedlaterally beside a respiratory gas conduit portion.

The region of the connecting plug structure which accommodates thecoupling portion preferably projects in a nose-like configurationradially beyond an outside peripheral surface of the respiration tubeconnecting portion, whereby it is possible to achieve particularlyeffective pre-positioning of the plug.

For the treatment of sleep-related respiratory disturbances it is knownto feed a patient with a respiratory gas which is optionally humidified,under a predetermined increased pressure. In that respect, in most casesthe provision of the respiratory gas under an increased pressure iseffected by way of blowers which are regulated in respect of theirrotary speed. Those blowers are usually accommodated in a preferablysound-insulated housing portion and are connected to a conduit systemwhich leads to a humidifying device or directly to a coupling portionfor the connection of a respiration tube. That coupling portion isgenerally in the form of a short tube connecting projection portion onto which the respiration tube can be fitted in sealing relationship.

Particularly in the case of CPAP-units for affording comparatively highrespiratory gas pressure levels, it has been found to be advantageous todetect the instantaneous pressure in the respiration tube or within arespiration mask. That purpose is usually implemented by using apressure-measuring tube, by way of which the pressure to be monitored istaken off at a defined measuring location and fed to a pressuretransducer which for example is integrated into the CPAP-unit. In thatcase the pressure-measuring tube is fitted in sealing relationship on toa connecting projection, in a similar manner to the respiration tube.Compatibility problems frequently arise here, having regard to the largenumber of widely used respiration tube, pressure-measuring tube andhumidifying systems.

In accordance with a further concept of the invention that is attainedby a connecting structural component for a CPAP-unit having a tubularrespiration gas conduction device whose passage cross-sectionsubstantially corresponds to the passage cross-section of a respirationtube provided for connection thereto, and a pressure-measuring tubeconnecting device for the connection of a pressure-measuring tube,wherein the respiration gas conduction device and the pressure-measuringconnecting device are arranged in mutually juxtaposed relationship.

It is advantageously possible in that way for a conventional respirationtube, a conventional pressure-measuring tube or also a respiration tubewith a combination plug assembly, to be connected to the correspondinglydesigned CPAP-unit.

The respiratory gas conduction device is preferably formed by a tubeconnecting projection whose inside diameter substantially corresponds tothe inside diameter of a respiration tube. The pressure-measuring tubeconnecting device is also preferably formed by a tube connectingprojection. Particularly effective protection for the two tubeconnecting projections is afforded by the two tube connectingprojections being arranged in sunk relationship in an opening.

A particularly robust embodiment of the invention which is advantageousfrom production-engineering points of view is afforded if thepressure-measuring tube connecting device and the respiratory gasconduction device are of an integral construction.

In accordance with a particular aspect of the present invention theconnecting, structural component is provided with a plate portion,wherein the respiratory gas conduction device passes through the plateportion. That plate portion preferably forms a labyrinth cover meanscoated with a sound-insulating soft material. That soft materialadvantageously acts at the same time as a sealing means between adjacentportions of the labyrinth.

A further embodiment of the invention which is advantageous fromproduction-engineering points of view is afforded if both tubeconnecting projections extend substantially perpendicularly from theplate portion. The connecting structural component in that case can bein a particularly advantageous manner in the form of a plastic materialinjection molding with tube portions which are formed integrally, thatis to say in one piece, on the plate portion.

The plate portion is advantageously provided with a sealing device forfitting the structural component on to a labyrinth casing in sealingrelationship. A plug connecting device is advantageously provided forfixing the connecting structural component, in particular for fixing thestructural component to a bottom structure of a CPAP-unit.

BRIEF DESCRIPTION OF THE DRAWINGS

Further details and features of the invention will be apparent from thedescription hereinafter of a preferred embodiment of the invention withreference to the drawing in which:

FIG. 1 shows an assembly comprising a CPAP-unit and a humidifyingapparatus which can be laterally coupled directly to the front or endthereof,

FIG. 2 is a simplified sectional view to explain the modular structureof the CPAP-assembly shown in FIG. 1,

FIG. 3 is a simplified view in longitudinal section through ahumidifying apparatus according to the invention,

FIG. 4 is a simplified view in section taken perpendicular to thesection line A-A in FIG. 3,

FIG. 5 is a perspective view of the humidifying apparatus of FIGS. 3 and4 viewing on to the plug connecting arrangements provided for connectionto a CPAP-unit,

FIG. 6a is a perspective view of a CPAP-unit with a connecting structurewhich is complementary to the humidifying apparatus,

FIG. 6b shows a perspective view of the humidifying apparatus of FIG. 5but viewing on to the connecting structures at the respiration tubeside,

FIG. 7 is a simplified view in axial section through an end portion of arespiration tube and associated connecting device,

FIG. 8a is a front view of the base body of the connecting device,

FIG. 8b is a side view of the respiration tube with connecting devicemounted thereto,

FIG. 9 is a simplified view in section to illustrate a suitablecomplementary connecting structure on the unit,

FIG. 10 shows a perspective view of a structural component in accordancewith a preferred embodiment of the invention, and

FIGS. 11a, 11b, 11c show three different compatible connecting options.

DETAILED DESCRIPTION OF PREFERRED EMBODIMENTS

The apparatus arrangement shown in FIG. 1 includes a CPAP-unit heregenerally identified by reference numeral 1 and a humidifying apparatus2 which can be connected thereto in modular relationship. Here theCPAP-unit 1 has a substantially block-shaped or box-shaped housing 3which has a front end face 4, two side faces 5, 6 which are arranged inpairs in mutually opposite relationship and which are in substantiallyparallel relationship with each other, and a rear side 7 which isarranged in the rearward region of the housing 3 in relation to thefront end face 4, as well as an upper top face 8. Provided in the regionof the front end face 4 is a connecting device 9 which, in theembodiment illustrated here, has a respiratory gas connecting portion10, a pressure-measuring tube connecting portion 11 and an electricalconnecting device 12. The respiratory gas connecting portion 10 and thepressure-measuring tube connecting portion 11 are arranged recessedsubstantially completely in an opening 13 which is only indicated here.The contact elements of an electrical connecting device 12 are alsoaccommodated in an opening or recess so that those connecting membersalso do not project or do not project substantially beyond a surfacedefined by the front end face 4.

In the embodiment illustrated here the front end face 4 is of a slightlycurved configuration, thereby affording particularly effectiveassistance in terms of centering the humidifying apparatus 2. Therespiratory gas connecting portion 10 and the pressure-measuring tubeconnecting portion 11 are oriented in such a way that they extendsubstantially parallel to the joining direction which is indicated insimplified form by the arrow 14.

In its bottom region the CPAP-unit 1 has support or erection members(here support feet 15) which are such that the connecting members of theconnecting device 9 are held at a predetermined vertical heightwiselevel which is matched precisely to the corresponding heightwise levelof the connecting members of the humidifying apparatus 2.

The humidifying apparatus 2 includes a base body 16 and a liquid storagecontainer 17 which is accommodated therein. The liquid storage container17 can be removed from the base housing 16 for example for refilling itwith humidifying liquid. The base housing has a connecting surfaceportion 18 which is of a correspondingly complementary configuration tothe front end face 4 of the CPAP-unit 1 and in which are disposed theconnecting members described in greater detail hereinafter withreference to FIG. 2.

On a side which is in opposite relationship to the connecting surfaceportion 18 the base housing 16 is again provided with connecting memberswhich in terms of their structure and their arrangement substantiallycorrespond to the connecting device 9 which has already been describedwith reference to the CPAP-unit 1. In that way it is then possible forthe hose connecting plug provided for example for connection to theCPAP-unit 1 also to be connected directly to the humidifying apparatus2. In that case connection of the pressure-measuring tube is achieved atthe same time.

The humidifying apparatus 2 also has support feet 20 which provide thatthe connecting members on the humidifying apparatus in the region of theconnecting surface portion 18 are held at a vertical heightwise levelwhich corresponds to that of the connecting device 9.

As can be clearly seen from FIG. 2 the connecting device 9 on theCPAP-unit 1 is of a complementary configuration to the connecting device21 on the humidifying apparatus 2. As indicated by the arrows 22 the twoconnecting devices 9 and 21 can be moved into the joined position inrelation to each other. Particularly effective pre-positioning of theconnecting members, in particular the respiratory gas connecting portion10 and the corresponding counterpart portion 23, is achieved in thisembodiment by the counterpart portion 23 also being centered by theinside wall 24 of the opening 13. The respiratory gas connecting portion10 and the counterpart portion 23 on the humidifying apparatus 2 aredisposed at exactly the same vertical heightwise level. Provided on theoutput side of the humidifying apparatus is a connecting structure whichin terms of its essential dimensions corresponds to the connectingstructure provided on the CPAP-unit. The respiration tube connectingplug 25 illustrated here can thus be coupled if required directly to theCPAP-unit 1 or to the humidifying apparatus 2. By virtue of apressure-measuring connecting conduit which is indicated into thehumidifying apparatus, a communication is afforded between thepressure-measuring tube 26 and the pressure-measuring tube connectingportion 11, when the respiration tube connecting plug 25 is connected tothe humidifying apparatus 2. The CPAP-apparatus arrangement describedhereinbefore with reference to FIGS. 1 and 2 can be used as described inthe following example of use.

It is firstly assumed that the CPAP-unit 1 is already set up on a tabletop, and now the respiratory gas being conveyed by the CPAP-unit 1 is tobe humidified.

For that purpose, as indicated in FIG. 1, the humidifying apparatusaccording to the invention is also set up on the table top and is fittedon to the CPAP-unit in a joining direction which is parallel to thesurface of the table and substantially perpendicular to the front endface of the CPAP-unit 1. When that is done, the connecting devices 9 and21 which are provided on the CPAP-unit 1 and the humidifying apparatus 2come together in the joining position. In addition, a voltage supply toa heating device provided on the humidifying apparatus 1 is alsoafforded by way of an electrical connecting device 12 which is onlyshown in FIG. 1. As soon as the two connecting devices 9, 21 have movedcompletely into the joined position, the two modules are fixed in thatjoined position by a latching device (not shown) so that the humidifyingapparatus 2 is reliably coupled to the CPAP-unit. The respiratory gastube which is originally connected directly to the CPAP-unit 1 and whichhas an integrated pressure-measuring conduit can be connected directlyto the humidifying apparatus by way of the respiratory gas connectingplug identified by reference numeral 25 in FIG. 2. That also affords acorresponding coupling between the pressure-measuring tube 26 and thepressure-measuring tube connecting portion 11 provided on the CPAP-unit1.

For the purposes of introducing humidifying water into the liquidstorage container 17, the latter is removed from the base housing 16 ofthe humidifying apparatus. After the liquid storage container is filledit can be fitted into the base housing 16 again. The CPAP-apparatussystem formed from two modules which can be laterally coupled, with arefilling unit which can be removed cartridge-like, is now ready foroperation.

The view in FIG. 3 shows a longitudinal section through an apparatus forhumidifying a respiratory gas (referred to hereinafter as thehumidifying apparatus), in accordance with a preferred embodiment of theinvention. Here, the illustrated embodiment of the humidifying apparatusincludes a refilling unit 203 which is formed from a trough element 201and a cup portion 202 coupled thereto and which can be easily removedfrom a support or installation housing 204 which here is of a multi-partnature.

The trough element 201 and the cup portion 202 are coupled together insealing relationship. The trough element 201 and the cup portion 202 arecoupled by way of a sealing structure 206 which, in the embodimentillustrated here, has a first sealing ring 207 and a second sealing ring208. The two sealing rings 207 and 208 are accommodated in peripheralgrooves provided in a separating element 209. The separating element 209has a separating wall 205 which is here of an integral nature. Theseparating wall 205 separates the internal region of the cup portion 202from the internal region of the trough element 201.

Formed in the cup portion 202, in conjunction with the separating wall205, is a liquid storage space 210 in which initially the predominantpart of the liquid provided for humidifying the respiratory gas isstored. Formed in the trough element 201 arranged beneath the cupportion 202 is a separate humidifying region in which only a partialamount of the humidifying liquid is accommodated. The level a of theliquid accommodated in the trough element 201 is maintained at apredetermined filling height by way of a quantitative control device. Inthe course of gradual consumption of the fluid in the trough element201, fluid is supplied as a make-up flow successively or continuouslyfrom the liquid storage space 210. A preferred embodiment of aquantitative control device which is provided for that purpose will bedescribed in detail hereinafter with reference to FIG. 3.

Here the trough element 201 is of a substantially shell-like nature andhas a respiratory gas feed opening 211 and a respiratory gas dischargeopening 212. The respiratory gas which is conveyed by a CPAP-unit (notshown here) can flow into the trough element 201 by way of therespiratory gas feed opening 211, according to the respiration activityof a patient. By means of a direction-changing device 213 which is onlyshown here in simplified form the feed flow of respiratory gas isdirected on to the liquid in the trough element 201. In that situationthe respiratory gas supplied thereto is enriched with moisture. Thecorrespondingly humidified respiratory gas can then flow away, by way ofthe respiratory gas discharge opening 212.

In the embodiment illustrated here the trough element 201 can be heatedby means of a heating device 214. The heating device 214 comprises aheating element which is arranged in the support housing 204 in such away that the bottom region of the trough element 201 can come intointimate contact therewith. In order to increase the transmission ofheat between the fluid in the trough element 201 and the heating device214 the bottom region 215 of the trough element 201 is formed from amaterial of high thermal conductivity, for example metal. In thelast-mentioned embodiment the above-mentioned bottom region 215 can beformed for example by the insert molding method in the actual main bodyof the trough element 201. The trough element 201 is of such aconfiguration that it can be inserted as an easy fit in self-positioningrelationship into the support housing 204. In that case the respiratorygas feed opening 211 and the respiratory gas discharge opening arealigned with conduits or openings provided in correspondinglycomplementary manner in the support housing 204.

In the region adjacent to the respiratory gas feed opening 211 thesupport housing 204 is provided with a connecting portion 216 which, inthe embodiment illustrated here, can be fitted directly on to aconnecting portion of a CPAP-unit, which is of a correspondinglycomplementary configuration. Provided in the immediate proximity of theconnecting portion 216 is a further connecting portion 217 which can becoupled to a pressure-detecting connection provided on a CPAP-unit. Theconnecting portion 217 forms part of a conduit system which ultimatelycommunicates with the pressure-measuring connecting portion 218 providedon an opposite side of the humidifying apparatus. In particular apressure-measuring tube can be connected to that pressure-measuringconnection 218 for detecting the pressure in the region of therespiration hose, a gas change valve or possibly also directly in themask region.

Beneath the pressure-measuring connecting portion 218 the supporthousing 204 is provided with a respiration tube connecting portion 219.The tube connecting members formed at the outlet side on the humidifyingapparatus are identical to that of a CPAP-unit, in such a way thatcorresponding connecting tubes or hoses can be optionally connectedeither directly to the CPAP-unit or if necessary, when using thehumidifying apparatus, only to the outlet side of the humidifyingapparatus 2. Provided beneath the connecting portion identified byreference numeral 216 is a plug connecting device (not shown here) byway of which it is possible to make an electrical connection between theheating device 214 and a voltage supply device provided on theCPAP-unit. Optionally it is also possible for electrical signals, forexample pressure-measuring signals, to be transmitted by way of thatplug connecting device.

The support housing 204 is further provided with a fixing device 220, byway of which the humidifying apparatus can be mechanically comparativelyrigidly coupled to a CPAP-unit.

A preferred embodiment of a quantitative control device for quantitativemetering of the amount of fluid in the trough element 201 will bedescribed hereinafter with reference to FIG. 4. The liquid storage space210 and the humidifying region formed in the trough element 201 areseparated from each other by way of the separating wall 205. The fluidstored in the liquid storage space 210 can be passed if required intothe humidifying region by way of a fluid conduit device 221. In thiscase control of the make-up flow of fluid is implemented by control ofthe make-up introduction of air into the liquid storage space. In theembodiment illustrated here regulation of the make-up introduction ofair is effected by way of a quantitative control conduit device 222which, similarly to the above-mentioned fluid conduit device 221, passesvertically through the separating wall 205. The quantitative controlconduit device 222 has a first mouth opening 223 and a second mouthopening 224. The first mouth opening 223 is arranged at the height ofthe desired or reference level a. As long as the first mouth opening 223is closed by the fluid in the trough element 201, no make-up flow of aircan pass into the liquid storage space 210 so that in turn no fluid canflow away out of the liquid storage space 210 by way of the fluidconduit device 221. As soon as the level a falls below the level of thefirst mouth opening, a make-up flow of air can pass into the liquidstorage space, whereby in turn fluid can pass out of the liquid storagespace 210 into the trough element 201 or the separate humidifying regionformed therein. The fluid conduit device 221 has a discharge mouthopening 225 which is somewhat below the reference level identified hereby the letters a.

In the embodiment illustrated here the fluid conduit device 221, thequantitative control conduit device 222 and the separating wall 205 areformed by an integral member. For the purposes of introducing the liquidinto the liquid storage space, it is possible for that integral memberto be withdrawn from the cup portion 202. The cup portion 202 canoptionally also be provided with a corresponding refilling opening whichcan be sealingly closed. The cup portion 202, the integral member havingthe separating wall and the trough element can each be cleanedseparately. The quantitative control conduit device 222 is of such adesign configuration that the second mouth opening 224 provided thereonis above the maximum filling level of the liquid storage space 210.

FIG. 5 is a perspective view of the humidifying apparatus describedhereinbefore with reference to FIGS. 3 and 4. The cup portion which ispreferably formed from a transparent material can be seen here in theform of a bowl of substantially cylindrical configuration. That bowl isfitted in a receiving portion which is also cylindrical and which isformed in the support housing 204. In the region of the cup portion 202the support housing 204 is of such a design configuration that the cupportion can be gripped with one hand. The connecting portion 217 and thepressure-measuring connecting portion 218 which have already beendescribed with reference to FIG. 3 are provided in the region of therear side 226 of the humidifying apparatus. Provided beneath thoseconnecting portions is the fixing device which is identified byreference 220 in FIG. 3 and which can provide particularly rigidcoupling of the humidifying apparatus to a corresponding CPAP-unit.Provided in a receiving recess beneath the connecting portion 216 is anelectrical plug connecting arrangement (not shown here) for providing anelectrical connection for the heating device to the associatedCPAP-unit.

Provided in the lateral region of the outer housing are switch members227, by way of which it is possible to set on the one hand thetemperature of the liquid in the trough element 201 and the switch-ontime for the humidifying apparatus.

The rear side 226 of the humidifying apparatus is of a configurationcorresponding to the front side of a CPAP-unit described hereinafterwith reference to FIG. 6a so that the humidifying apparatus can beconnected in a modular manner virtually without any intermediate spaceto the CPAP-unit.

The CPAP-unit shown in FIG. 6a has a substantially cuboidal housing, inthe upper region of which is provided a gripping arrangement 330, by wayof which the CPAP-unit can be gripped in an ergonomically advantageousmanner. Provided in a front end region are connecting members 331, forthe connection of at least one respiration tube or hose.

The illustrated embodiment has a respiration hose connecting projection332 and a pressure-measuring tube connecting projection 333. Thearrangement of those connecting members substantially corresponds to thearrangement of the connecting members 216 and 217 described withreference to FIG. 3. The connecting members 231 are further of such aconfiguration that the connecting members 216, 217 on the humidifyingapparatus (FIG. 3) can be directly fitted on or fitted in. Also providedin the bottom region of the CPAP-unit are engagement structures whichcan be brought into engagement with engagement portions of acomplementary configuration, on the humidifying apparatus. Theconnecting members 331 are here arranged in recessed relationship insuch a way that they do not project beyond an outside surface and inparticular a front surface of the housing.

FIG. 6b shows the humidifying apparatus described hereinbefore withreference to FIGS. 3, 4 and 5, viewing on to the front region thereof.The connecting portions 216 and 217 are arranged in recessedrelationship, similarly as also in regard to the CPAP-unit. Theconnecting portions are surrounded by a plug-receiving space 234 intowhich can be inserted a plug preferably formed from a soft material, inparticular silicone rubber.

The plug-receiving space 234 is preferably of such a nature that acorresponding plug slides both on the respective projection 216, 217 andalso along the wall of the plug-receiving space 234.

The invention is not limited to the embodiments by way of exampledescribed hereinbefore. For example it is also possible for thedescribed humidifying apparatus to be integrated directly into acorresponding CPAP-unit. It is also possible to fit into the supporthousing which can be docked in a simple fashion to a CPAP-unit,refilling units which deviate in respect of their structure and thehumidifying principle involved, from the described humidifyingapparatus. It is also possible for the trough element of the humidifyingunit to be so designed that it can be connected directly to theCPAP-unit, omitting the support or installation housing. The describedhumidifying apparatus can also be connected to a respiratory gas source,with the interposition of a hose conduit. The refilling unit can also bearranged in the form of a substantially trough-like unit under theCPAP-unit.

The respiration tube or hose 301 shown in FIG. 7 is provided in its endregion with a connecting device 302 which here has a base body 303formed from an elastomer material, in particular silicone rubber, withtwo coupling portions 304, 305 formed therein.

The two coupling portions 304, 305 are formed integrally by mutuallyparallel tube zones which are of circular cross-section. The insidediameter of the respective tube zone is slightly smaller than theoutside diameter of the connecting projections which pass into the twotube zones when the plug is connected thereto and in that case isslightly enlarged.

Formed in the region of the base body, which is towards the hose ortube, is a fixing portion 306 in which the respiration tube 301 is fixedby way of a ring element 307. The ring element 307 is here also formedfrom an elastomer material and is secured by adhesive to the outsidesurface of the respiration tube.

An additional tube—here a pressure-measuring tube 308—is guided in theinterior of the respiration tube 301. The pressure-measuring tube 308opens into the coupling portion 305 by way of a passage duct 309 formedin the base body 303. The pressure-measuring tube 308 is secured byadhesive or vulcanisation in the base body 303. The passage duct 309 isof such a configuration that the pressure-measuring tube 308 is onlyslightly curved. The angle α between the longitudinal center line of thecoupling portion 304 and the longitudinal center line of the passageduct 309 is preferably less than 35°.

The transition of the inside wall of the pressure-measuring tube 309into the coupling portion 305 is effected here substantially steplessly.A corresponding shoulder 310 is provided at the end of the passage duct309, for that purpose.

The respiratory gas conduit region 311 formed in the base body 303 inthis case also forms a substantially stepless transition into the innerregion of the respiration tube 301.

With suitable elasticity of the tubes 301, 308, it is possible for themto be passed to the end face 312 of the base body 303 so that thecoupling members on the unit side can pass directly into the tubes 301,308.

The external configuration of the base body shown in FIG. 7 will bedescribed in still greater detail with reference to FIGS. 8a and 8b . Ascan be clearly seen in particular from FIG. 8a , the coupling portionintended for the connection of the additional tube is arranged at aradial spacing from the respiratory gas conduit coupling portion 304 ina region 314 of the base body 303, which projects radially outwardly ina nose-like configuration. That provides for effective preliminarypositioning of the base body in a recess provided in the unit.

That region which extends radially outwardly in a nose-likeconfiguration decreases continuously towards the end of the base body 1,which is towards the respiration tube. Provided in the region of the endtowards the tube is a peripheral bead or ridge 315, by way of which aflow of forces between the hose and the plug structure, which isadvantageous from mechanical points of view, is achieved.

FIG. 9, for explanatory purposes, shows a preferred embodiment of aconnecting structure on the unit, which connecting structure is of asubstantially complementary configuration to the coupling portions 304,305 provided in the base body 303 of the plug.

The projection portion which is identified here by reference 316 passesinto the coupling portion 304 in the joined position of the assembly.The projection portion identified by reference numeral 317 comes intoengagement with the coupling portion in the joined position. The twoprojection portions 316, 317 are arranged in recessed relationship in arecess 318. The inside wall which defines the recess 318, in conjunctionwith the external contour of the base body 303 shown in FIG. 8a ,provides for pre-positioning thereof.

The connecting structural component shown in FIG. 10 includes arespiratory gas conduction device which is here in the form of a tubeprojection portion 401. A further tube projection portion 402 isarranged adjacent to that tube projection portion 401, leaving anintermediate space. The tube projection portion 402 forms apressure-measuring tube connecting device. The two tube projectionportions 401, 402 are arranged in recessed relationship in a recess 403.That recess is surrounded by a front cover plate 404. The cover plate404 and the wall defining the recess 403 are formed in one piece.

In a region remote from the end of the tube projection 401, which istowards the tube, it opens into a base plate 405 which here forms acover plate for a labyrinth arrangement. This labyrinth arrangementwhich is not described in greater detail here forms a prolongedrespiratory gas guide path for the absorption of any odors produced by ablowing device. The base plate 405 is coated with a sound-absorbingmaterial, in particular foam, on the rear side which is not visiblehere.

Provided in a region between the base plate 405 and the cover plate 404is a connecting duct 406, by way of which the interior of the tubeprojection 402 can be coupled to a pressure transducer arranged on acontrol board.

The connecting structural component is further provided with fixingdevices 407, 408, by way of which that component can be fixed in aCPAP-unit in an easily interchangeable manner.

More particularly but not exclusively the conduit devices shown in FIGS.11a, 11b and 11c can be connected to the illustrated connectingstructural component.

In this respect FIG. 11a shows a compact plug which is advantageous interms of handling, from ergonomic points of view, with an integratedpressure-measuring tube passage configuration.

FIG. 11b shows a respiration tube 409 and a pressure-measuring tube 410which is independent thereof, both of which can be connected without aplug arrangement directly to a corresponding CPAP-unit, by way of theconnecting structural component according to the invention.

FIG. 11c is a greatly simplified view showing a coupling portion of ahumidifying apparatus which can be fitted directly to a CPAP-unit by wayof the structural component according to the invention. In that case theprojection portion identified by reference numeral 411 engages with thetube projection 401 and the bore portion 412 with the tube projection402.

1. Apparatus for delivering pressurized, humidified breathable gas to apatient having a sleep-related disorder, the apparatus comprising: aCPAP unit comprising a blower configured to generate a flow ofpressurized breathable gas; a liquid storage container configured tohold a body of liquid, the liquid storage container comprising a gasfeed opening, a gas discharge opening and a humidifying region above ametallic heat conducting material, the humidifying region being a regioninside the liquid storage container in which the pressurized breathablegas generated by the CPAP unit passes over and absorbs water vaporgenerated from the body of liquid; and a support housing integrateddirectly into the CPAP unit and having a receiving space configured toremovably receive the liquid storage container, the support housingcomprising: a gas feed flow path in fluid communication with an outletof the CPAP unit and having an ending portion that opens up to thereceiving space; and a gas discharge flow path configured to be fluidlyconnected to an air delivery tube and having a beginning portion thatopens up to the receiving space, the gas feed flow path and the gasdischarge flow path being separated from each other, wherein the liquidstorage container is structured such that when the liquid storagecontainer is received by the support housing, the gas feed openingaligns with and engages with the ending portion of the gas feed flowpath and the gas discharge opening aligns with and engages with thebeginning portion of the gas discharge flow path so that the liquidstorage container fluidly connects the gas feed flow path and the gasdischarge flow path.
 2. The apparatus of claim 1, wherein the supporthousing comprises a heating device configured to be in thermal contactwith the metallic heat conducting material when the liquid storagecontainer is secured to the support housing.
 3. The apparatus of claim1, wherein the gas feed opening and the gas discharge opening areoriented to direct gas along a horizontal plane when the apparatus is anupright working orientation.
 4. The apparatus of claim 1, wherein thegas feed flow path terminates at a first opening in side wall of thesupport housing receiving space, the gas discharge flow path begins at asecond opening in the side wall of the support housing receiving space,the gas feed flow path and the gas discharge flow path being separatedby the support housing receiving space.
 5. The apparatus of claim 4,wherein when the liquid storage container is fully received by thesupport housing, the liquid storage container gas feed opening opposesthe first opening in the side wall of the support housing receivingspace, and the liquid storage container gas discharge opening opposesthe second opening in the side wall of the support housing receivingspace.
 6. The apparatus of claim 1, wherein the liquid storage containeris secured to the support housing via an insert and twist lockingmechanism.
 7. The apparatus of claim 1, wherein the liquid storagecontainer comprises a direction changing device configured to change adirection of the pressurized breathable gas flowing from the gas feedopening.
 8. The apparatus of claim 1, wherein the liquid storagecontainer is configured to be sealed off in the receiving space by asealing device.
 9. The apparatus of claim 1, wherein the support housingand the liquid storage container are configured so that the liquidstorage container is self-positioning when inserted into the supporthousing.
 10. The apparatus of claim 1, wherein the support housingcomprises a heating device configured to be in thermal contact with themetallic heat conducting material when the liquid storage container issecured to the support housing, wherein the gas feed opening and the gasdischarge opening are oriented to direct gas along a horizontal planewhen the apparatus is an upright working orientation, wherein the gasfeed flow path terminates at a first opening in side wall of the supporthousing receiving space, and the gas discharge flow path begins at asecond opening in the side wall of the support housing receiving space,the gas feed flow path and the gas discharge flow path being separatedby the support housing receiving space, wherein when the liquid storagecontainer is fully received by the support housing, the liquid storagecontainer gas feed opening opposes the first opening in the side wall ofthe support housing receiving space, and the liquid storage containergas discharge opening opposes the second opening in the side wall of thesupport housing receiving space, wherein the liquid storage container issecured to the support housing via an insert and twist locking mechanismwherein the liquid storage container comprises a direction changingdevice configured to change a direction of the pressurized breathablegas flowing from the gas feed opening, wherein the liquid storagecontainer is configured to be sealed off in the receiving space by asealing device, and wherein the support housing and the liquid storagecontainer are configured so that the liquid storage container isself-positioning when inserted into the support housing.
 11. Apparatusfor delivering pressurized, humidified breathable gas to a patienthaving a sleep-related disorder, the apparatus comprising: a CPAP unitconfigured to generate a flow of pressurized breathable gas, the CPAPunit including an integrated humidifier with a receiving space; a troughconfigured to hold a body of liquid and configured to be received by thehumidifier receiving space, the trough having a bottom portioncomprising a metallic heat conducting material, the trough comprising:an air inlet; an air outlet; and a humidifying region in which liquidfrom the body of liquid is evaporated into the pressurized breathablegas generated by the CPAP unit; and an insert and twist lockingmechanism configured to secure the trough within the receiving space,wherein the humidifier has a bottom portion to support the troughthereon, the bottom portion including a heating element configured tothermally contact the heat conducting material of the trough.
 12. Theapparatus of claim 11, wherein the locking mechanism comprises a bayonetfixing device.
 13. The apparatus of claim 11 further comprising a filterdevice configured to filter ambient air entering the CPAP unit.
 14. Theapparatus of claim 11 further comprising an electrical connectionbetween the CPAP unit and the humidifier.
 15. The apparatus of claim 11,wherein the humidifier defines two portions of an air path separated bya gap, a first portion of the air path being located on a first side ofthe gap and being in fluid communication with the CPAP unit, a secondportion of the air path being on a second side of the gap and beingconfigured to be in fluid communication with an air delivery tube. 16.The apparatus of claim 15, wherein the trough is configured to bridgethe gap between the two portions of the air path when the trough isinserted into the humidifier.
 17. The apparatus of claim 11, wherein thehumidifier and the trough are configured so that the trough isself-positioning when inserted into the humidifier.
 18. The apparatus ofclaim 11 further comprising a sealing device configured to seal off thetrough within the humidifier.
 19. The apparatus of claim 11, wherein thehumidifier receiving space and the trough are cylindrical.
 20. Theapparatus of claim 11, further comprising: a filter device configured tofilter ambient air entering the CPAP unit; an electrical connectionbetween the CPAP unit and the humidifier; and a sealing deviceconfigured to seal of the trough within the humidifier, wherein thelocking mechanism comprises a bayonet fixing device, wherein thehumidifier defines two portions of an air path separated by a gap, afirst portion of the air path being located on a first side of the gapand being in fluid communication with the CPAP unit, a second portion ofthe air path being on a second side of the gap and being configured tobe in fluid communication with an air delivery tube, wherein the troughis configured to bridge the gap between the two portions of the air pathwhen the trough is inserted into the humidifier, wherein the humidifierand the trough are configured so that the trough is self-positioningwhen inserted into the humidifier, and wherein the humidifier receivingspace and the trough are cylindrical.
 21. Apparatus for deliveringpressurized, humidified breathable gas to a patient having asleep-related disorder, the apparatus comprising: a CPAP unit configuredto generate a flow of pressurized breathable gas; a refilling cartridgeconfigured to hold a body of liquid, the refilling cartridge comprisinga humidifying region above a metallic heat conducting material, thehumidifying region being a region inside the refilling cartridge inwhich the pressurized breathable gas generated by the CPAP unit passesover and absorbs water vapor generated from the body of liquid, therefilling cartridge further comprising a gas feed opening configured toreceive the pressurized breathable gas and a gas discharge openingconfigured to deliver humidified pressurized breathable gas; a base unitcomprising a receiving space configured to receive the refillingcartridge, the base unit having a bottom portion to support therefilling cartridge thereon, the bottom portion including a heatingelement configured to contact the metallic heat conducting material ofthe refilling cartridge when the refilling cartridge is supported on thebase unit; a sealing device configured to seal off the refillingcartridge within the base unit; and an airflow path defined by therefilling cartridge and the base unit, the base unit defining an airinlet portion of the airflow path and an air outlet portion of theairflow path, and the refilling cartridge defining a middle portion ofthe airflow path linking the air inlet and the air outlet, wherein therefilling cartridge is structured so that when the refilling cartridgelinks the air inlet and the air outlet, the gas feed opening opposes theair inlet portion of the airflow path and the gas discharge openingopposes the air outlet portion of the airflow path.
 22. The apparatus ofclaim 21, wherein the refilling cartridge comprises a gas feed openingand a gas discharge opening, wherein the base unit receiving spacecomprises an interior perimeter defined by at least one wall, the airinlet of the airflow path terminating at a first opening in the interiorperimeter of the receiving space and the air outlet of the airflow pathbeginning at a second opening in the interior perimeter of the baseunit, and wherein the refilling cartridge is self-positioning so thatwhen the refilling cartridge is inserted into the base unit, the gasfeed opening opposes the first opening in the interior perimeter of thebase unit and the gas discharge opening opposes the second opening inthe interior perimeter of the base unit.
 23. The apparatus of claim 22,wherein both the gas feed opening and the gas discharge opening areoriented to direct gas along a horizontal plane when the apparatus is anupright working orientation.
 24. The apparatus of claim 21, wherein thebase unit is configured to vertically receive the refilling cartridgewhen the apparatus is in an upright working orientation.
 25. Theapparatus of claim 21, wherein the refilling cartridge is configured tobe secured to the base unit by a bayonet fixing device.
 26. Theapparatus of claim 21, wherein the apparatus further comprises aflexible respiration tube configured to deliver the pressurizedbreathable gas to the patient, and wherein the base unit comprises aconnecting plug in pneumatic communication with the air outlet of theairflow path, the connecting plug being configured to connect to therespiration tube.
 27. The apparatus of claim 21, wherein the refillcartridge is configured to be sealed off in the base unit by a sealingdevice.
 28. The apparatus of claim 21, wherein the CPAP unit comprisesgripping arrangement positioned on a top side of the CPAP unit.
 29. Theapparatus of claim 21, wherein the CPAP unit is integrated with the baseunit.
 30. The apparatus of claim 21, wherein the refilling cartridgecomprises a gas feed opening and a gas discharge opening, wherein thebase unit receiving space comprises an interior perimeter defined by atleast one wall, the air inlet of the airflow path terminating at a firstopening in the interior perimeter of the receiving space and the airoutlet of the airflow path beginning at a second opening in the interiorperimeter of the base unit, wherein the refilling cartridge isself-positioning so that when the refilling cartridge is inserted intothe base unit, the gas feed opening opposes the first opening in theinterior perimeter of the base unit and the gas discharge openingopposes with the second opening in the interior perimeter of the baseunit, wherein both the gas feed opening and the gas discharge openingare oriented to direct gas along a horizontal plane when the apparatusis an upright working orientation, wherein the base unit is configuredto vertically receive the refilling cartridge when the apparatus is inan upright working orientation, wherein the refilling cartridge isconfigured to be secured to the base unit by a bayonet fixing device,wherein the apparatus further comprises a flexibly respiration tubeconfigured to deliver the pressurized breathable gas to the patient,wherein the base unit comprises a connecting plug in pneumaticcommunication with the air outlet of the airflow path, the connectingplug being configured to connect to the respiration tube, wherein therefill cartridge is configured to be sealed off in the base unit by asealing device, wherein the CPAP unit comprises gripping arrangementpositioned on a top side of the CPAP unit, and wherein the CPAP unit isintegrated with the base unit.